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Contact Information

MICHAEL J DANNENBERG, MD
177 MAIN STREET
HUNTINGTON, NY11743-6951
 Phone: 631-421-4188
 Fax: 631-421-4197
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for MICHAEL J DANNENBERG · (Male)

NPI # 1255347779
Status Active
Credentials MD
Entity Individual
Enumeration date 08/01/2006
Last updated 08/13/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 195567
  • NY Medicaid 00195567
Hospital affiliation(s)
  • HUNTINGTON HOSPITAL - (Acute Care)
    270 PARK AVENUE
    HUNTINGTON, NY 11743
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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